Order Number (If not available, provide your last name.) Your Email Address What date did the flowers or plant arrive? Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Did your arrangement or plant arrive in good condition? Yes No Was the delivery person courteous and presentable? Yes No Did you receive a care tag with your flowers or plant? Yes No Was the enclosure card properly signed and addressed? Yes No How would you rate the overall appearance of your flowers or plant? Excellent Good Fair Poor Please rate the freshness of your flowers or plant. Excellent Good Fair Poor What florist do you currently use? Would you use George's in the future? Yes No Your opinion is important to us! Do you have any other comments or thoughts you'd like to share with us in regards to the flowers or plant you received? Include them in the box below. We occasionally send out special discounts or promotional offers to our customers via email. If you would like to receive further email from us, please check this box.